NPI 1710932009 · live from the CMS NPI Registry
Ivan Louis Brodsky, M.D.
Psychiatry & Neurology, Neurology in Golden Valley, MN. National Provider Identifier 1710932009, active.
NPI record
| NPI | 1710932009 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 4225 Golden Valley Rd, Golden Valley, MN 55422 |
| Practice phone | 763-588-0661 |
| Enumerated | May 24, 2006 |
| Last updated | March 5, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 18799 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.